The eHealth Exchange* and CONNECT Overview *eHealth Exchange - PowerPoint PPT Presentation

The eHealth Exchange* and CONNECT Overview *eHealth Exchange – formerly known as the Nationwide Health Information Exchange (NwHIN)

Table of Contents • The New eHealth Exchange......................................................................4-7 – What is the eHealth Exchange?…………………………………………………………………………………………….. 4-5 – Origin and Oversight of NwHIN………………………………………………………………………………………………… 6 – NwHIN / Healtheway / eHealth Exchange Context…………………………………………………………………… 7 • Origin and Oversight of NwHIN…………………………………………………………… 8-20 – National Health Information Infrastructure (NHII)……………………………………………………………………. 8 – The NwHIN to Exchange from Prototype to Production…………………………………………………………… 9 – Definition of the eHealth Exchange……………………………………..……………………………….................... 10 – Office of the National Coordinator (ONC)……………………………………………….……………………………… 11 – Major ONC Initiatives…………………………………………………………………………………………………………….. 12 – Federal Health Architecture (FHA)…………………………………………………………………………………….. 13-14 – What is CONNECT?....................................................................................................................... 15 – NwHIN Overview: 2004 to Present……………………………………………………………………………………. 16-19 – For More Information…………………………………………………………………………………………………………….. 20 2

Table of Contents • eHealth Exchange: From Concept to Reality…………………….……………….. 21-41 – Exchange Operability Specifications Factory…………………………………………………………………………… 22 – Components of the eHealth Exchange……………………………..…………………………………………………23-24 – eHealth Exchange Specifications Overview……………………………………………………………….…............ 25 – Benefits of the Exchange………………………………………………………………………………………………………… 26 – eHealth Exchange Transition Overview (prior & current state) ……………………………………………….. 27 – Content Harmonization Workgroup (C32 & C-CDA)………………………………………………………………… 28 – Healtheway Bundles (Service Specifications) ………………………………………………………………………….. 29 – Collaboration with EHR/HIE Interoperability Workgroup (IWG)………………………………………… 30-31 – Onboarding eHealth Exchange………………………………………………………………………………………….. 32-41 • CONNECT………………………………………………………………………………………….. 42-50 – What is CONNECT?……………………………………………………………………………………………………………. 43-44 – Components of CONNECT…………………………………………………………………………………………………. 45-48 – Agencies that Collaborated to Create CONNECT…………………………………………………………………….. 49 – CONNECT Adopters………………………………………………………………………………………………………………… 50 • Bibliography……………………………………………………………………………………... 51-52 3

What is the eHealth Exchange? ( formerly referred to as the Nationwide Health Information Network (NwHIN) ) The eHealth Exchange transitioned from an ONC nationwide health information network program initiative, the NwHIN A community of exchange Exchange, to operate as a public-private partners who share information partnership in October 2012. under a common trust Healtheway is a non-profit, public-private partnership that operationally supports the agreement, using a common set eHealth Exchange. With production of technical requirements, starting in 2009, the eHealth Exchange has become a rapidly growing community policies and testing process. of public and private organizations, representing thousands of providers and millions of patients. 4 Sources: http://www.healthewayinc.org

What is the eHealth Exchange? Activities: The eHealth Exchange helps to improve the health and welfare of all Americans through health information exchange that is trusted , scalable and enhances quality of care and health outcomes by supporting comprehensive longitudinal health records. 5 Source : http://www.healthit.gov/providers-professionals/faqs/what-ehealth-exchange

Origin and Oversight of NwHIN NwHIN transitioned to the eHealth Exchange in October 2012   eHealth Exchange 6

NwHIN / eHealth Exchange / Healtheway Context Nationwide Health eHealth Exchange Healtheway Information Network A community of exchange Non-profit organization A portfolio of standards, partners who share information chartered to support the services and policies under a common trust eHealth Exchange and for secure exchange of agreement, using a common set focused on cross-industry health information of technical requirements, collaboration to advance over the Internet policies and testing process HIE implementation Operational governance Corporate board of directors established by contract to oversee Healtheway Federal program ( Data Use and Reciprocal strategy and sustainability, initiative led by ONC Support Agreement – DURSA ) no authority or oversight with oversight by of eHealth Exchange Coordinating Committee 7 Sources: http://www.himssvirtual.org/VB/20121115_VB_IHE.asp Presentation: Healtheway IHE, November 15, 2012, M. Yeager

National Health Information Infrastructure (NHII) Evolution The eHealth Exchange has evolved since 2004 when it began as the National Health Information Infrastructure (NHII). NHII NHIN NwHIN Healtheway 2004 2010 2011 2012 Definition: The National Health Information Infrastructure (NHII) was a healthcare standardization initiative for the development of an interoperable health information technology system. NHII Goal: Build an interoperable system of clinical, public health and health information technology. How To Achieve NHII Goal: Encourage public-private partnership with a federal leadership role. Sources: (1) http://healthit.hhs.gov/portal/server.pt?open=512&objID=1407&parentname=CommunityPage&parentid=8&mode=2&in_hi_userid=11113&cached=true 8 (2) Presentation NHII Tuturial, Dr. Yasnoff. July 20, 2004. http://156.98.150.11/e-health/npyasnoff.pdf

The NwHIN to Exchange from Prototype to Production NHIN Prototype Phase I: NHIN Prototype Phase II: • Contract awarded May 2007 • Contract awarded October 2007 for $22.5 M • Determination of need • “Specification Factory” • Four contractors involved: • Nine HIEs to participate in NHIN ‐ Accenture implementation: ‐ CSC ‐ CareSpark – (TN/VA) ‐ ‐ IBM Delaware Health Information Network ‐ ‐ Indiana University – Indianapolis Northrup Grumman ‐ Long Beach Network for Health (CA) • Demonstration model (i.e., prototype) only ‐ Lovelace Clinic Foundation (NM) ‐ MedVirginia (Central VA) ‐ New York eHealth Collaborative ‐ North Carolina Healthcare Information and Communications Alliance, Inc. ‐ West Virginia Health Information Network Source: (1) http://www.hhs.gov/news/press/2007pres/10/20071005a.html; 9 (2) http://healthit.hhs.gov/portal/server.pt?open=512&objID=1407&parentname=CommunityPage&parentid=8&mode=2&in_hi_userid=11113&cached=true Both links Accessed 12/7/12.

Definition of the eHealth Exchange Definition: A set of standards, services and policies that enable secure health information exchange over the Internet. Goal: Operationalize the exchange of healthcare information nationwide utilizing the governance established by Contract (Data Use and Reciprocal Support Agreement – DURSA) with oversight by Coordinating Committee. Approach: Public-private venture. Stakeholders: • Care Delivery Organizations (CDOs) using EHRs • Consumer organizations operating Personal Health Records (PHRs) • Health Information Exchanges (HIEs) with multi-stakeholder entities to facilitate data within a state, region or group of stakeholders • Specialized participants (data for secondary uses) 10 Source: http://www.healthewayinc.org/index.php/exchange/dursa

Office of the National Coordinator (ONC) Oversight of NwHIN through the Office of the National Coordinator (ONC) – 2004-2012 (Organizational Structure Detail – NwHIN governance transitioned to Healtheway, Inc., 10/2012) 11 Source: Organizational Chart updated January 13, 2011; http://www.hhs.gov/about/orgchart/onc.html Accessed on 12/1/12.